MANDY REBECCA SPANN RN CLC NPI 1316425069

NPI Information

  • NPI: 1316425069
  • Provider Name: MANDY REBECCA SPANN, RN, CLC
  • Classification: Registered Nurse - 163WL0100X
  • Specialization: Lactation Consultant
  • Entity Type: Individual
  • Address: 1932 GREENMEADOW DR
    WALLED LAKE, MI
    ZIP 48390
  • Phone: (248) 496-2565

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NPI Details

Mandy Rebecca Spann, RN, CLC is a lactation consultant registered nurse in Walled Lake, MI. Mandy Rebecca Spann, RN, CLC NPI is 1316425069. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1932 GREENMEADOW DR
WALLED LAKE, MI
ZIP 48390-532
Phone: (248) 496-2565

The enumeration date for this NPI number is 8/4/2018 and was last updated on 8/4/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered Nurse4704244162MICHIGANNo
2163WL0100XRegistered NurseLactation Consultant307324MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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